Disaster Management: Identifying Knowledge of

Disaster Management: Identifying Knowledge of Community Health Nurses and Its Predictive Factor NURUL’AIN AHAYALIMUDIN LECTURER, DEPARTMENT OF CRITICAL CARE NURSING KULLIYYAH OF NURSING INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA

Commonwealth Nurses Conference, 8th-9th March 2014 London

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BACKGROUND  Malaysia habitually facing natural disasters  Floods  Landslides

 Fortunate to be free from earthquakes and tsunamis.  2004 – Sumatera-Andaman earthquakes proven that Malaysia is also vulnerable to devastating disasters occurs in neighbouring countries.

Commonwealth Nurses Conference, 8th-9th March 2014 London

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PURPOSES

Objective 1

• To determine nurses’ knowledge towards disaster management.

Objective 2

• To identify socio-demographic factors that predict nurses’ knowledge towards disaster management.

Commonwealth Nurses Conference, 8th-9th March 2014 London

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METHODOLOGY    

Study setting: 8 Health Clinics Study design: Cross-sectional Sampling: Multistage (stratified and simple random) Tools: Self-developed questionnaire 17 items  Cronbach’s alpha: 0.923  Ethical consideration:  MOH Research Ethics Committee (MREC)  UKMMC Ethical Committee Commonwealth Nurses Conference, 8th-9th March 2014 London

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DATA ANALYSIS  Descriptive analysis of sociodemographic data  Frequency & percentage  Median & IQR

 Bivariate analysis – chi square, yates correction and Fisher exact test  Multiple logistic regression Commonwealth Nurses Conference, 8th-9th March 2014 London

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RESULTS Variable

Age ≤ 40 years ≥ 41 years Gender Male Female Education level Certificate Diploma Bachelor degree Graduation year ≤ year 1999 ≥ year 2000 Commonwealth Nurses Conference, 8th-9th March 2014 London

Community health nurse (n=264) n % 37.00 (IQR=31.25 – 43.00) 179 67.8 85 32.2

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0 264

0.0 100.0

41 222 1

15.5 84.1 0.4

132 132

50.0 50.0

RESULTS

Variable

Working experience ≤ 4 years ≥ 5 years Involved in disaster response No Yes Attended disaster education No Yes Commonwealth Nurses Conference, 8th-9th March 2014 London

Community health nurse (n=264) n % 7.00 (IQR=3.00 – 12.00) 96 36.4 168 63.6

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188 76

71.2 28.8

143 121

54.2 45.8

RESULTS

Age ≤ 40 years ≥ 41 years Education level Certificate Diploma Bachelor degree Graduation year ≤ year 1999 ≥ year 2000 Commonwealth Nurses Conference, 8th-9th March 2014 London

Knowledge Community Health Nurse (n=264) Inadequate Adequate χ2 value n (%) n (%) 3.749 113 (63.1) 66 (36.9) 43 (50.6) 42 (49.4) 1.607# 23 (56.1) 18 (43.9) 133 (59.9) 89 (40.1) 0 (0.0) 1 (100.0) 3.071 71 (53.8) 61 (46.2) 85 (64.4) 47 (35.6) 8

p value

0.053

0.477

0.080

RESULTS

Working experience ≤ 4 years ≥ 5 years Involved in disaster response No Yes Attended disaster education No Yes Commonwealth Nurses Conference, 8th-9th March 2014 London

Knowledge Community Health Nurse (n=264) Inadequate Adequate χ2 value n (%) n (%) 1.883 62 (64.6) 34 (35.4) 94 (56.0) 74 (44.0) 0.647 114 (60.6) 42 (55.3)

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0.170

0.421

74 (39.4) 34 (44.7) 24.000

104 (72.7) 52 (43.0)

p value

39 (27.3) 69 (57.0)

0.000*

RESULTS

Knowledge

B Involved in disaster response Yes (1) [No] (0) Attended disaster-related education/ training Yes (1) [No] (0) [ ] reference ** significant at p